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題名:CEREBRAL VENOUS THROMBOSIS WITH SEVERE OPTIC DISC SWELLING──A CASE REPORT     (16點)
大腦靜脈栓塞合併嚴重視乳頭水腫──病例報告
著者:Yen-Jui Chang(張延瑞) ;Tai-Jen Lin(林太仁) ;The-Chen Wang(王德珍) ;Meng-Chi Wang(王孟祺) ;Jieh-Ren Jou(周介仁) ;Lin-Chung Woung(翁林仲)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Cerebral venous thrombosis ; optic disc swelling ; anti-coagulant therapy
刊名:中華民國眼科醫學會雜誌
卷期:41卷4期(2002.12)
頁碼:530-537
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:報告一四十三歲男性大腦靜脈桂塞,並 引起嚴重之視頭水腫,起囡疑似五年前眼窩穿刺傷。 方法:以血管攝影及MRA 診斷此病後,立即 以肝素注射治療三週,之後口服Comnadin' 並追蹤 病人十個月。 結果:治療後,頭痛症狀,視乳頭水腫,眼部 及腦部的血流動力學皆有改善,但十個月後,雖然病人中心視力一直維持24/20 ,可是大範圍之前見野缺 損仍沒有恢復。 結論:大腦靜脈竇負責大腦大部份的靜脈回 流,桂塞有可能會造嚴重的疾病甚至死亡;血管攝 影是目前最重要的診斷工具,早期的診斷及治療對 於視覺功能的恢復是很重要的。
Purpose: To present a 43 year-old male with severe left optic disc swelling caused by cerebral venous thrombosis. The cause was obscure, but an orbital penetrated injury in the right eye five years ago might be associated. Method: The diagnosis was confirmed by the angiography and MRA find ing, and heparin infusion was started thereafter immediately. After treating for 3 weeks, the symptoms improved and heparin was changed to oral Coumadin. We followed this patient for 10 months. Result: After treatment, the headache, optic disc swelling improved, but the visual field defect did not recover even 10 months later. The central visual acuity was good through the whole course. Conclusion: The cerebral venous system drains the venous blood of brain, and obstruction of this system may result in severe morbidity even mortality. The angiography is the most impo川ant test to detect this disease entity. Early anti-coagulant therapy may be crucial to preserve normal neurological and visual function .


    

本卷期目次
中華民國眼科醫學會雜誌 41卷4期 (2002.12)
如何避免準分子雷射屈光原位層狀角膜塑形術(LASIK)之併發症/ 黃朝銘陳彥伯
我的PRK經驗/ 鄭惠川
散光的流行病學/ 林隆光施永豐蔡忠斌洪伯廷
散光的檢查/ 林耕國李建興張世彥
圓柱鏡片的光學/ 梁有松
THE RELATIONSHIP BETWEEN PERIPHERAL RETINAL CHANGES AND REFRACTIVE STATUS/ Yi-Chen SunTzyy-Chang HoJen-Shang HuangLuke L.K. LinMuh-Shy ChenChung-May YangYung-Feng Shih
A COMPARISON BETWEEN EARLY TRABECULECTOMY WITH MITOMYCIN AND MEDICAL TREATMENT IN YOUNG PATIENTS WITH GLAUCOMA/ Jian-Nan WuPo-Liang ChenDa-Wen Lu
中心視野與視力之相關性/ 何建賢李世煌
Valsalva maneuver於中心視網膜動脈阻塞症之臨床應用/ 黃峻峰錢方鵬劉又綾陳柏宏
CEREBRAL VENOUS THROMBOSIS WITH SEVERE OPTIC DISC SWELLING──A CASE REPORT/ Yen-Jui ChangTai-Jen LinThe-Chen WangMeng-Chi WangJieh-Ren JouLin-Chung Woung
TRAUMATIC CORNEAL ABSCESS AFTER RADIAL KERATOTOMY──A CASE REPORT/ Jium-Dar Shy,MDHui-Ju Lin,MDLi-Chen Kuao, MDSan-Chang Tsai, MD
EMPHYSEMA OF THE EYELID AND ORBIT AFTER A GIVEN SLAP──A RARE CASE REPORT/ Yun-Hsiang Yang M.D.Ching-Hong Kao M.D.
ACUTE MYOPIA AS AN EARLY MANIFESTATION OF VOGT-KOYANAGI-HARADA DISEASE/ Ko-Hua Chen, M.D.Wen-Ming Hsu, M.D.Yu-Mei Chang, M.D.Ching-Kuang Chou,M.D.
ACUTE ACQUIRED OCULAR TOXOPLASMOSIS──A CASE REPORT/ Cheng-Kuo ChengChen-Wei TangTong-Sheng LeeChang-Hao Yang
LASIK術後視網膜剝離的處理──病例報告/ 李東昇唐甄蔚鄭成國楊長豪
視網膜合併色素上皮細胞缺陷瘤──病例報告/ 陳祖永邱欣玲黃峻峰黃敏生
後部玻璃體囊腫──二例報告/ 陳建壬蔡武甫江元弘陳香吟
愛滋病病患合併隱球菌脈絡膜炎──病例報告/ 彭繼賢周清光許紋銘劉榮宏邱士華
 
   
 
   

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